Yuri Pamela Diaz Castro, SI 5871

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SI5871 Issued in FL

Practice address

111 E Lake Mary Blvd # 113
Sanford, FL 32773-7111

Phone

(407) 792-8818

NPI assigned

Sep 14, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1295457588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W SEMINOLE BLVD APT 214",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327717803",
            "telephone_number": "787-477-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E LAKE MARY BLVD # 113",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327737111",
            "telephone_number": "407-792-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ CASTRO",
        "first_name": "YURI",
        "middle_name": "PAMELA",
        "credential": "SI 5871",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI5871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ghayathri Ananthi Devaraj, NP
• Charles N Dewild, D.M.D., M.D.
• Jessica Hannah Dexter, B.S.
• Navdeep Kaur Dhillon, MD
• Dialysis Services of Central Florida
• Nathalia Dibenardo, LMHC
• Breha Julie Diggs, DO
• Edward Dimauro II
• Distinctive Dentistry of Sanford
• Divine Connection LLC.

• Speech-Language Assistant in Sanford, FL
• Providers in Sanford, FL by specialty
• Speech-Language Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.